What is Endometriosis?
Endometriosis is a painful and often misunderstood condition where the tissue similar to the lining of the uterus (endometrium) grows outside the uterus — on the ovaries, fallopian tubes, or pelvic walls.
At Shree Clinic, under the guidance of Dr. Sonali Choudhari, we often meet women who suffer from chronic pelvic pain, painful periods, or infertility, without realizing that these could be signs of endometriosis. It is not “just bad period pain” — it’s a chronic condition that needs attention, understanding, and proper management.
How Endometriosis Affects the Body
During each menstrual cycle, this misplaced endometrial-like tissue reacts to hormonal changes it thickens, breaks down, and bleeds — but since it’s outside the uterus, the blood cannot exit the body. This leads to inflammation, scarring, adhesions, and cyst formation over time.
These internal changes cause pain, fertility issues, and discomfort that can significantly affect a woman’s quality of life.
Common Symptoms of Endometriosis
Symptoms can vary from mild to severe and often worsen over time. The most common ones include:
- Severe menstrual cramps (dysmenorrhea)
- Chronic pelvic pain (before, during, or after periods)
- Pain during intercourse (dyspareunia)
- Painful urination or bowel movements, especially during menstruation
- Heavy or irregular menstrual bleeding
- Bloating and fatigue
- Difficulty conceiving (infertility)
If you experience persistent pain or irregular bleeding, it’s important to get evaluated — early diagnosis can help prevent long-term complications.
Causes and Risk Factors
The exact cause of endometriosis isn’t fully understood, but several factors may contribute:
- Retrograde menstruation: Menstrual blood flows backward into the pelvic cavity.
- Hormonal imbalances (especially excess estrogen).
- Genetic predisposition (family history of endometriosis).
- Immune system disorders (body unable to eliminate displaced tissue).
- Previous pelvic surgeries that may spread endometrial cells.
Diagnosis at Shree Clinic
At Shree Clinic, we use a step-by-step, gentle, and precise approach to diagnose endometriosis accurately.
Our diagnostic methods include:
- Detailed medical history and pelvic examination
- Pelvic ultrasound (USG) – to detect cysts such as endometriomas
- MRI scan – to identify deep or complex lesions
- Diagnostic laparoscopy – the gold standard for confirming and treating endometriosis
Treatment Options for Endometriosis
Treatment is personalized based on age, symptom severity, and fertility goals.
1. Medical Management
- Pain relief medications (NSAIDs) for symptom control
- Hormonal therapy to suppress endometrial growth (oral contraceptives, progesterone, GnRH analogs)
- Lifestyle modifications – diet, stress reduction, and exercise
2. Minimally Invasive Surgical Management
When medical therapy is ineffective, we often recommend laparoscopic surgery, which helps:
- Remove endometrial implants and cysts
- Restore pelvic anatomy
- Improve fertility outcomes
Our focus is always on fertility-sparing laparoscopic procedures, ensuring minimal damage to healthy tissues.
3. Fertility Support (if needed)
For women trying to conceive, assisted reproductive techniques like ovulation induction, IUI, or IVF may be considered after surgical management.
Why Choose Shree Clinic?
At Shree Clinic, we believe in empathetic, evidence-based, and holistic care for women with endometriosis — addressing both physical and emotional aspects of this condition.
Accurate Diagnosis – Early detection through advanced imaging and minimally invasive evaluation.
Expert Surgical Care – Laparoscopic and fertility-preserving techniques.
Holistic Management – Focus on pain relief, hormonal balance, and emotional wellness.
Personalized Fertility Guidance – Tailored care for women wishing to conceive.
Trusted Expertise – Led by Dr. Sonali Choudhari, with over 23 years of gynecological experience, associated with Aditya Birla Hospital, Lotus Hospital, Jupiter Hospital, Pune. Cloud Nine Hospital, Surya mother and child Hospital, Oyster and Pearls Hospital.
Take Control of Your Pelvic Health
If you experience severe menstrual pain, fatigue, or fertility challenges, don’t ignore these signs- endometriosis is treatable.
At Shree Clinic, we provide comprehensive diagnosis, advanced treatment, and long-term management to help women live pain-free and achieve their health and fertility goals. 💜
- Consultations available online and offline at Shree Clinic, Pune.
- Dr. Sonali Choudhari, MBBS, DGO, FICOG, Diploma in Aesthetic Gynecology
- Your partner in women’s health, fertility, and wellness.